Quarry Event Report Form

Concerns and information regarding a specific quarry event should be reported to the quarry representatives as soon as possible after the event by contacting the individuals listed below.  A prompt report is necessary for prompt action. 

To file a complaint to the City, complete the "Quarry Event Report Form" below and submit it either online or by printing and mailing (or fax) it to the City Clerk's Office, City of Franklin, 9229 W. Loomis Road, Franklin, WI  53132, or via fax at 414-425-6428. 

Please also mail or fax the completed form to the quarry representatives listed above.

In addition to general information, specific information is helpful to identify and evaluate consistent problem issues.  Please provide all information relevant to the event being reported.  Any other questions can be directed to the Planning Department at 414-425-4024. 

Nature of Complaint:

Blasting   Dust   Noise   Truck Traffic   Road Conditions   Odor   Other 

Time/Location:

Date and Time of Incident:   /  /       : a.m.   p.m.

Where did you observe the event: 

Address/Description of Location:   

Suspected Source of Event: 

Description of Event:

Conditions at Time of Event:   

Approximate Temperature  ^oF
Approximate Wind Speed  mph from the   

 Mostly Sunny         Mostly Cloudy        Heavy Cloud Cover         Raining

 Snowing                Foggy                   Other 

For Blasting Complaints:   The following questions are intended to gauge the relative
                                           intensity of the ground motion of the event.      

Did you feel the blast?   No    Barely Felt    Clearly Felt    Strongly Felt

Where were you when you felt it?   Outside    1st Floor    2nd Floor    Basement    In a Vehicle     

Did you submit this form to the quarry representatives by fax or mail?   Yes    No

Do you want a quarry representative to contact you?    Yes     No

Do you want your submission of this form to remain confidential?    Yes     No 
 

Signature         Date   

Your Quarry Event Report Form was successfully submitted!  Thank you!